American journal of critical care 14187 197 arnold e

American Journal of Critical Care . 14:187-197.
arnold, E. C. & Boggs, K. u. (2006). Interpersonal
Relationships. 5th ed. Philadelphia, Pa: W. B. saunders/
Elsevier.
Dossey, B. M., Keegan, L. & guzzetta, C. (2008).
Holistic Nursing: A Handbook for Practice . 5th ed.
Boston, Ma: Jones & Bartlett.
Hardin, s. R. & Kaplow, R. (eds.). (2005). Synergy
for Clinical Excellence: The AACN Synergy Model for
Patient Care . Boston, Ma: Jones & Bartlett.
Purnell, L. (2009). Guide to Culturally Competent Health
Care . 2nd ed. Philadelphia, Pa: F. a. Davis.
Many references available through AACN; visit
.
More current versions may be available.
PUBLISHER CONTACTS:
AACN – [phone]
American Heart Association – [phone]
Elsevier (including Mosby, W. B. Saunders and Hanley & Belfus) – [phone]
Jones & Bartlett – [phone]
Lippincott Williams & Wilkins – [phone]

50
PCCn test PLAn
I. CLINICAL JUDGMENT (80%)
A. Cardiovascular (36%)
1. acute coronary syndromes
2. acute inflammatory disease
3. Cardiac surgery
4. Cardiac tamponade
5. Cardiogenic shock
6. Cardiomyopathies
7. Conduction defects
8. Dysrhythmias
9. Heart failure
10. Hypertensive crisis
11. Peripheral vascular disease
12. Peripheral vascular surgery
13. Pulmonary edema
14. Ruptured or dissecting aneurysm
15. structural heart defects
B. Pulmonary (14%)
1. acute lung injury (aLI)
2. aspirations
3. Chronic ventilatory failure
4. Exacerbation of COPD
5. Pneumothorax
6. Pulmonary embolism
7. Pulmonary hypertension
8. Respiratory infections
9. severe asthma
10. sleep disordered breathing
11. thoracic surgery
C. Endocrine (4%)
1. Diabetic ketoacidosis
2. Hypoglycemia
D. Hematology/Immunology (2%)
1. anemia
2. Life-threatening coagulopathies
E. Neurology (5%)
1. Intracranial hemorrhage
2. seizure disorders
3. stroke
F. Gastrointestinal (5%)
1. gI hemorrhage
2. gI infections
3. gI motility disorders
4. Hepatic failure
5. Malnutrition
6. Pancreatitis
G. Renal (5%)
1. acute renal failure
2. Electrolyte imbalances
3. End-stage renal disease (EsRD)
H. Multisystem (5%)
1. Infectious diseases
2. shock states
3. systemic inflammatory response syndrome
(sIRs)/sepsis/severe sepsis/septic shock/
multi-organ dysfunction syndrome (MODs)
I. Behavioral (4%)
1. Delirium and dementia
2. Mood disorders and depression
3. substance abuse
II. PROFESSIONAL CARING AND ETHICAL PRACTICE
(20%)
A. Advocacy/Moral Agency (3%)
B. Caring Practices (4%)
C. Collaboration (4%)
D. Systems Thinking (2%)
E. Response to Diversity (2%)
F. Clinical Inquiry (2%)
G. Facilitation of Learning (3%)
Order of content does not necessarity reflect importance.

51
PCCn testABLe nURsIng ACtIons
Cardiovascular
1. Perform a comprehensive cardiovascular
assessment
2. Identify, interpret and monitor:
• dysrhythmias
• st segments
• Qtc intervals
3. select leads for cardiac monitoring for the
indicated disease process
4. Recognize indications for and manage patients
requiring hemodynamic monitoring using non-
invasive hemodynamic monitoring
5. Monitor hemodynamic status and recognize
signs and symptoms of hemodynamic
instability
6. Recognize indications for and monitor/manage
patients requiring cardiovascular therapeutic
intervention using:
• cardioversion
• transcutaneous pacing
• defibrillation
7. Monitor normal and abnormal diagnostic test
results